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Missouri Cvs Pharmacy, L.L.C.

Community/Retail Pharmacy in Lake St Louis, MO · enumerated 2006 · authorized official Susan Colbert, Sr. Director, Payer Relations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255367504

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Registry record

Entity type Organization (Type 2)
Legal business name Missouri Cvs Pharmacy, L.L.C.
Other name <Unavail>
Practice address 101 Civic Center Dr, Lake St Louis, MO, 63367
Phone (636) 561-3963
Fax (636) 561-5317
Enumeration date Jun 25, 2006
Last updated in NPPES Jun 26, 2020

Taxonomy & classification

163WD0400X Diabetes Educator Registered Nurse Nursing Service Providers Secondary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 2004013648 (MO) Secondary
333600000X Pharmacy Suppliers · License 2004013648 (MO) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Susan Colbert
Title Sr. Director, Payer Relations
Phone (401) 770-2751

Other identifiers

Identifier Type State Issuer
2635499 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
606141109 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Missouri Cvs Pharmacy, L.L.C.?
The NPI for Missouri Cvs Pharmacy, L.L.C. is 1255367504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Missouri Cvs Pharmacy, L.L.C.?
NPPES lists Susan Colbert (Sr. Director, Payer Relations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-26.